Have you or anyone in your household received Food Stamps or Supplemental Nutrition Assistance Program (SNAP) food benefits during 2011 or 2012? If yes, as part of the Verification process, you must provide proof that you or someone in your household qualified for this benefit.

Fields marked with an asterisk (*) are required fields

Independent Student's Information

First Name:

*

Last Name:

*

NLU ID Number:

*

(Example: N00123456)

Date of Birth:

*

/
/

Complete Address:

*

Email:

*

Phone Number:

*

Alternate Phone Number:

Supplemental Nutrition Assistance Program

(Required to Check One)

Neither I nor anyone in my household received Food Stamps or Supplemental Nutrition Assistance Program (SNAP) food benefits during 2011 or 2012. Please make a correction to my 2013-2014 FAFSA.

I, or someone, in my household received Food Stamps or Supplemental Nutrition Assistance Program (SNAP) food benefits during 2011 or 2012. If checked, please list the name(s) of each household member who received SNAP benefits in the space below.

Name of Person who Received Food Stamps or SNAP Benefits:

Relationship to Student:

Certification and Signature

By printing my name below, I certify that all of the information reported on this worksheet is complete and correct.

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

CHICAGO DOWNTOWN CAMPUS

NLU’s Chicago campus on South Michigan Avenue occupies five floors of the historic Peoples Gas Building. This landmark building, across the street from the Art Institute of Chicago and Grant Park, is easily accessible by train, bus and car and is surrounded by restaurants, parking lots/garages and shops.

ELGIN

Conveniently located in a fast-growing business district off I-90 and Route 31, NLU Elgin features 10 classrooms with high-tech media equipment; a computer lab with high-speed Internet access; two conference rooms; and comfortable student lounges. Parking is free at this recently remodeled and upgraded teaching site, which now includes wireless Internet access.

NORTH SHORE

Opened in the summer of 2006, NLU North Shore at Skokie is a state-of-the-art modern campus located just off the Edens Expressway near the Old Orchard Shopping Center. The campus includes 44 wireless classrooms equipped with high-tech media equipment; four computer labs with high-speed Internet access, including a walk-in lab in the library; six conference rooms; a public café for beverages and snacks; a student welcome center; a library for research and study; and multiple, comfortable student lounge areas.

LISLE

Located just minutes from the East-West Tollway (I-88), NLU Lisle features 42 wireless classrooms equipped with high-tech media equipment; four computer labs with high-speed Internet access, including a separate walk-in lab in the library; a café for beverages and snacks; a student welcome center; a library for research and study; conference rooms; and six comfortable student lounge areas with wireless access.

WHEELING

Located in one of Chicago's major northwest suburbs, the newly renovated NLU Wheeling includes 20 classrooms with high-tech media equipment, four conference rooms, four computer labs with high-speed Internet access, large student lounge areas with wireless capabilities and interactive video capabilities, and an extensive research library. The site also houses the university library research collection.

FLORIDA (TAMPA)

Established in 1988 and located in one of the city's major business districts, NLU's Florida Regional Center serves students in 13 counties in central Florida. In addition to six classrooms, this location features a conference room, a computer lab with high-speed Internet access, an extensive research library and comfortable student lounges.

WISCONSIN

NLU's Milwaukee campus has a proud history of serving graduate students in education in southeastern Wisconsin. Nearly one in five certified Wisconsin teachers looks to NLU for graduate education programs – more than any other university in the state. In addition to classrooms with high-tech media equipment, the campus offers a state-of-the-art computer lab with wireless Internet access and an extensive IDS research library.